Irondale Youth Sports Volunteer Form Year: Sport: Today's Date:(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Name(Required) First Last Date of Birth:(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone Number:(Required)Cell Phone Number:(Required)Work Phone Number:(Required)Occupation: Job Title: Social Security Number: Employer: Email: Special Professional Training, Skills, Hobbies:Community Affiliations (Clubs, Service Organizations, etc):Special Certification (i.e. CPR, medical, etc.):Previous Volunteer Experience Year Detail Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. (including baseball/softball experience): Do you have children in the program? Yes No If yes, at which level? Do you have a valid driver’s license? Yes No Driver’s License Number: State: Accidents or traffic violations? Yes No If yes, describe in detail:Have you ever been convicted of any crime(s)? Yes No If yes, describe in detail:Have you ever been refused participation in any other youth program? Yes No If yes, describe in detail:In which of the following would you like to participate? (check one or more) Park Volunteer Manager/Head Coach Assistant Coach Please list three references, at least one of whom has knowledge of your participation as a volunteer in a youth program: Name: Phone: Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Background Check Consent(Required) I Consent I Do Not Consent Date MM slash DD slash YYYY Background Check(Required)I give permission for the City of Irondale Youth Baseball/Softball to conduct a background check on me, which may include a review of criminal and child abuse records maintained by governmental agencies. I understand that if appointed, my position is review of criminal and child abuse records maintained by governmental agencies. I understand that if appointed, my position is from liability the City of Irondale, the employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that regardless of previous appointments, I may not be appointed to a volunteer position. If appointed I understand that, prior to the expiration of my term, I am subject to suspension by and removal by the City of Irondale and/or Park and Recreation Director with or without cause. I AgreeApplicant's Name: DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920SignatureCAPTCHA
